Individual
MISS SHARRONDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 HARRIS AVE, BIRMINGHAM, AL 35217-1861
(205) 568-4804
Mailing address
1108 HARRIS AVE, BIRMINGHAM, AL 35217-1861
(205) 568-4804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10735
AL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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